- Title
- A delphi study tp build consensus on the ultrasound skills required for effective healthcare service delivery at distict hospitals in South Africa
- Creator
- Mans, Pierre Andre
- Description
- ABSTRACT Background: Despite increased access to ultrasound machines across the country, there are no guidelines on the required competency level in point of care ultrasound (POCUS) for medical doctors working in district hospitals in South Africa. Through a Delphi process involving nominated experts across the country, this study aimed to develop and achieve expert consensus on the POCUS skillsets required for medical doctors working at district hospitals in South Africa. Methods: A Delphi method of consensus development was performed, comprising several iterative rounds of skillset selection that continued until consensus was achieved on all items. We started this process using the existing American Academy of Family Physicians’ ultrasound curriculum (93 skillsets) as the starting point in the questionnaire. Experts were drawn from across the country; two from district hospitals in each province and two from each academic Family Medicine Department (N=36). In each iterative round, participants were asked to identify which POCUS skillsets were essential, optional (region specific) or non-essential for South African district hospitals. Results: Overall, five iterative rounds were required before consensus was attained on all skillsets (>70% agreement among the experts). In the first round, consensus was reached on 14 skillsets, followed by 21 skillsets in the second and third rounds. In the fourth round, consensus was reached on 26 skillsets, and in the fifth and final round, consensus was reached on the remaining eight skillsets. Of the starting 93 skillsets, three skillsets could not achieve consensus
- Description
- Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Date
- 2023-07
- Type
- Masters theses, text
- Identifier
- http://hdl.handle.net/11260/12923
- Identifier
- vital:76178
- Format
- computer, online resource, application/pdf, 1 online resource (153 pages), pdf
- Publisher
- Walter Sisulu University, Faculty of Medicine and Health Sciences
- Language
- English
- Rights
- Faculty of Finace and Economic Sciences, All Rights Reserved, Open Access
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Mans Pierre Andre.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |